Individual provider Active NPI

Benjamin Jacob Brown, MD

  • Plastic Surgery Physician
  • Pensacola, FL
National Provider Identifier
1962636993
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 122557 Issued in FL
Practice address
600 E Government St
Pensacola, FL 32502
Phone
(850) 500-7527
Fax
(850) 855-4030
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME 122557 FL Primary

Addresses

Primary practice location

600 E Government St
Pensacola, FL 32502

Mailing address

600 E Government St
Pensacola, FL 32502-6136
Phone (850) 500-7527

Other practice location 1

543 Fontaine St
Department of Plastic Surgery
Pensacola, FL 32503-2058
Phone (850) 476-3223

Other practice location 2

543 Fontaine St
Department of Plastic Surgery
Pensacola, FL 32503-2058
Phone (850) 476-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 122557FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Plastic Surgery Center, LLC PastSince Dec 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bbrown26186@direct.wvuhsdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1962636993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-500-7527",
            "fax_number": "850-855-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-500-7527",
            "fax_number": "850-855-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Fontaine St",
            "address_2": "Department of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032058",
            "country_code": "US",
            "telephone_number": "850-476-3223",
            "fax_number": "850-855-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "543 Fontaine St",
            "address_2": "Department of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032058",
            "country_code": "US",
            "telephone_number": "850-476-3223",
            "fax_number": "850-855-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 122557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.